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Inhibition of STAT3 reverses alkylator resistance through modulation of the AKT and beta-catenin signaling pathways

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机构: [1]Capital Med Univ, Dept Neurosurg, Glioma Ctr, Beijing Tiantan Hosp, Beijing 100050, Peoples R China; [2]Harbin Med Univ, Affiliated Hosp 2, Dept Neurosurg, Harbin 150086, Peoples R China; [3]Capital Med Univ, Beijing Sanbo Brain Hosp, Dept Neurosurg, Beijing 100093, Peoples R China; [4]Tianjin Med Univ, Gen Hosp, Lab Neurooncol, Dept Neurosurg, Tianjin 300052, Peoples R China; [5]Minist Educ, Key Lab Posttrauma Neurorepair & Regenerat Cent N, Tianjin 300052, Peoples R China; [6]Tianjin Key Lab Injuries Variat & Regenerat Nervo, Tianjin 300052, Peoples R China
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关键词: glioblastoma p-STAT3 clinical outcome chemoresistance AKT beta-catenin

摘要:
Activation of signal transducer and activator of transcription 3 (STAT3) is associated with poor clinical outcome of glioblastoma (GBM). However, the role of STAT3 in resistance to alkylator-based chemotherapy remains unknown. Here, we retrospectively analyzed the phosphorylated STAT3 (p-STAT3) profile of 68 GBM patients receiving alkylator therapy, identifying p-STAT3 as an independent unfavorable prognostic factor for progression-free and overall survival. Additionally, elevated p-STAT3 expression correlated with resistance to alkylator therapy. In vitro analysis revealed that U251 and U87 human glioma cells were refractory to treatment with the common alkylating agent temozolomide (TMZ), with only a modest impact on AKT and beta-catenin activation in the context of high p-STAT3. Inhibition of STAT3 in these cells significantly enhanced the effect of TMZ. Inhibition of STAT3 dramatically decreased the 1050 of TMZ, increasing TMZ-induced apoptosis while up-regulating expression of Bcl-2 and down-regulating expression of Bax. Furthermore, inhibition of STAT3 increased TMZ-induced G(0)-G(1) arrest and decreased Cyclin D1 expression compared to TMZ alone. Together, these results indicate that inhibition of STAT3 sensitizes glioma cells to TMZ, at least in part, by blocking the p-AKT and beta-catenin pathways. These findings strongly support the hypothesis that STAT3 inhibition significantly improves the clinical efficacy of alkylating agents.

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中科院(CAS)分区:
出版当年[2010]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学
最新[2023]版:
大类 | 3 区 医学
小类 | 4 区 肿瘤学
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出版当年[2009]版:
Q3 ONCOLOGY
最新[2023]版:
Q2 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2009版] 出版当年五年平均 出版前一年[2008版] 出版后一年[2010版]

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第一作者机构: [1]Capital Med Univ, Dept Neurosurg, Glioma Ctr, Beijing Tiantan Hosp, Beijing 100050, Peoples R China;
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通讯机构: [1]Capital Med Univ, Dept Neurosurg, Glioma Ctr, Beijing Tiantan Hosp, Beijing 100050, Peoples R China;
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